f parents and school authorities know about the allergy and a doctor’s prescription is on file, a nurse can quickly give an injection of epinephrine, saving the child’s life.

But school nurses in many districts face an agonizing choice if a child without a prescription develops a sudden reaction to an undiagnosed allergy. Should they inject epinephrine and risk losing their nursing license for dispensing it without a prescription, or call 911 and pray the paramedics arrive in time?

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Mylan has also lobbied state legislatures around the country directly and is passing out free EpiPens this fall to any qualifying school that wants them.

“When a child is having an anaphylactic reaction, the only thing that can save her life is epinephrine,” said Maria L. Acebal, the chief executive of the Food Allergy and Anaphylaxis Network. “911 doesn’t get there fast enough.”

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The initiative also has a commercial underpinning: It is part of an effort to raise the profile of EpiPen. Over the last two years, Mylan has invested millions of dollars in consumer advertising and hired almost 100 extra sales representatives to help promote the product. EpiPen sales are on track to bring in $640 million this year, a 76 percent increase over last year, according to one analyst.

Heather Bresch, the chief executive of Mylan, said charity and profit should not be mutually exclusive.

“I think this goes to the heart of being able to do good and do well,” she said.

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